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SKJOAQUI1►I Environmental Health Department <br /> IT•t1.. COUNTY l� <br /> {�, ' . Greatness grows here. Time In: 10.35 am <br /> Time Out: 11:23 am <br /> Food Program Official Inspection Report <br /> Name of Facility: LODI USD-GEORGE LINCOLN MOSHER Date: 04/22/2021 <br /> Address: 3220 BUDDY HOLLY DR, STOCKTON 95212 <br /> Owner/Operator: LODI UNIFIED SCHOOL DISTRICT Telephone: (209)331-7000 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION (Chargeable) <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Diane Mead Expiration Date:July 26,2023 <br /> Warewash Chlorine(Cl): ppm Heat: 160°F Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 101 IF <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> Norlake milk cooler#1 --Cafeteria--41.00°F Walk-in cooler--40.00°F <br /> Hand washing sink--Restroom--100.00°F Crescor hot hold#2--Cafeteria--192.00°F <br /> Norlake milk cooler#2--Cafeteria--40.00°F Crescor hot hold#1 --Kitchen--160.00°F <br /> NOTES <br /> Spring routine inspection. <br /> Sanitizer bucket: 200 PPM QUAT <br /> Facility is preparing hot and cold lunches for the students on side, Monday through Friday. Lunch occurs between 10:45am- <br /> 12:55pm. <br /> Facility orders their food items from SYSCO and the Lodi Unified School District warehouse. <br /> All food is prepared and warmed on site, during operational use of the facility. <br /> Not all food equipment is in use at this time. <br /> Observed no major violations at this time. <br /> Official inspection report emailed. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Diane Mead, Kitchen manager <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)616-3023 <br /> FA0018101 PR0526735 SC101 04/22/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Food Program OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />